14-00000

104-10250-10035 | 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSI

‘
* t

. NAME. (oast, First, Middle) -  [2- DATE OF BIRTH .  [SeuseeyOuNIG t
‘HICKS, CALVIN W. & HOV 32924

«+ PRESENT POSITION + EMPLOYEE EXTENSION

+ OFFICE, DIVISION. BRANCH (or overseas station and
existing cover if lateral assignment)

PNP/VH/CS/CS Dev Comp | OPS OFFICER 6815

+ PROPOSED STATION . PROPOSED POSITION (title, number, grade)
16-16
OPS OFFICER ~ 0977 - GS-

tO. ESTIMATED DATE OF - NO. OF DEPENDENTS TO
DEPARTURE ACCOMP ANY

9. TYPE OF COVER AT NEW STATION

Gsrars_) 320

$2. NAME OF DEPENDENT TO ACCOMPANY 13. RELATIONSHIP

CATHERINE L,. WIFE

THERESA L. DAU

14. DATE OF BIRTH eg REPORT Bh MED.

MICHARL C. -

MARY C
LISA ANNE

DANIEL C

16. COMMENTS

FORM 89 ATTACHED IN DUPLICATE. PLEASE SCHEDULE MEDICAL AS SOON
AS POSSIBLE,

- SIGNATURE OF REQUESTING OFFICIAL 19. ROOM NUMBER AND 20. EXTENSION

. DATE OF REQUEST
03 BUILDING

10 MAY 1966 ( Kenneth L, Wambold GH 56 Has 68

+ EVALUATION AND SIGNATURE OF APPROVING OFFICIAL

Date: 2 JUN 1965

pecurity Approval has been Granted for
Le ae eae Tequest

<a CAL “

Chie Pereornk) SSdutrity ieee


